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psnet.ahrq.gov/node/45857/psn-pdf
July 11, 2017 - Assessing the impact of the anesthesia medication
template on medication errors during anesthesia: a
prospective study.
July 11, 2017
Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on
Medication Errors During Anesthesia: A Prospective Study. Anesth Analg. 2017;124(5…
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psnet.ahrq.gov/node/44001/psn-pdf
May 06, 2015 - Wrong-site nerve blocks: 10 yr experience in a large
multihospital health-care system.
May 6, 2015
Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital
health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490.
https://psnet.ahrq.gov/issue/wrong-si…
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psnet.ahrq.gov/node/866855/psn-pdf
October 02, 2024 - Reduction in preventable time-critical dose omissions:
impact of electronic medication management systems on
in-patients.
October 2, 2024
Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of
electronic medication management systems on in-patients. Contemp Nurse. 2…
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psnet.ahrq.gov/node/50938/psn-pdf
February 26, 2020 - Risks and medication errors analysis to evaluate the
impact of a chemotherapy compounding workflow
management system on cancer patients' safety.
February 26, 2020
Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors
analysis to evaluate the impact of a chemotherapy comp…
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psnet.ahrq.gov/node/45138/psn-pdf
May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover
(WOOSH).
May 25, 2016
Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ
Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190.
https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
…
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psnet.ahrq.gov/node/44280/psn-pdf
July 15, 2015 - Innovation in practice: a multidisciplinary medication
safety initiative.
July 15, 2015
Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6.
doi:10.1097/01.NURSE.0000466458.62870.99.
https://psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication…
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psnet.ahrq.gov/node/844768/psn-pdf
September 11, 2019 - Standardized orders for titrating vasopressors: do efforts
to improve safety slow delivery of care?
September 11, 2019
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow
Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
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psnet.ahrq.gov/node/73568/psn-pdf
August 04, 2021 - Coping strategies in health care providers as second
victims: a systematic review.
August 4, 2021
Kappes M, Romero?García M, Delgado?Hito P. Coping strategies in health care providers as second
victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694.
https://psnet.ahrq.gov/issue/copin…
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psnet.ahrq.gov/node/74870/psn-pdf
April 11, 2022 - Proposed 2022 CDC clinical practice guideline for
prescribing opioids. A notice by the Centers for Disease
Control and Prevention.
February 23, 2022
Fed Register. February 10, 2022;87: 7838-7840.
https://psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-
centers-disease…
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psnet.ahrq.gov/node/42656/psn-pdf
April 21, 2015 - Improving quality and safety of care using
"technovigilance": an ethnographic case study of
secondary use of data from an electronic prescribing and
decision support system.
April 21, 2015
Dixon-Woods M, Redwood S, Leslie M, et al. Improving quality and safety of care using "technovigilance":
an ethnographic case…
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psnet.ahrq.gov/node/44677/psn-pdf
June 07, 2016 - Computerised prescribing for safer medication ordering:
still a work in progress.
June 7, 2016
Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work
in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004677.
https://psnet.ahrq.gov/issue/comput…
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psnet.ahrq.gov/node/863225/psn-pdf
February 28, 2024 - Revealing Disparities: Health Care Workers’ Observations
of Discrimination Against Patients.
February 28, 2024
Fernandez H, Ayo-Vaughan M, Zephyrin LC, et al. New York, NY: The Commonwealth Fund; February 15,
2024.
https://psnet.ahrq.gov/issue/revealing-disparities-health-care-workers-observations-discrimination-a…
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psnet.ahrq.gov/node/839812/psn-pdf
November 09, 2022 - Measuring psychological safety and local learning to
enable high reliability organisational change.
November 9, 2022
Cartland J, Green M, Kamm D, et al. Measuring psychological safety and local learning to enable high
reliability organisational change. BMJ Open Qual. 2022;11(4):e001757. doi:10.1136/bmjoq-2021-00175…
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psnet.ahrq.gov/node/43779/psn-pdf
May 28, 2015 - Debriefing in the emergency department after clinical
events: a practical guide.
May 28, 2015
Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A
Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10.019.
https://psnet.ahrq.gov/issue/debri…
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psnet.ahrq.gov/node/841770/psn-pdf
December 21, 2022 - A recent two-fold increase in medical adverse event
deaths among US inpatients.
December 21, 2022
Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J
Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935.
https://psnet.ahrq.gov/issue/recent-…
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psnet.ahrq.gov/node/47158/psn-pdf
August 15, 2018 - A standardized handoff simulation promotes recovery
from auditory distractions in resident physicians.
August 15, 2018
Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From
Auditory Distractions in Resident Physicians. Simul Healthc. 2018;13(4):233-238.
doi:10.1097/SIH.00…
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psnet.ahrq.gov/node/836965/psn-pdf
April 20, 2022 - We are not there yet: a qualitative system probing study
of a hospital rapid response system.
April 20, 2022
Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital
rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/pts.0000000000001000.
https://psn…
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psnet.ahrq.gov/node/48073/psn-pdf
June 19, 2019 - Special Section on Human Factors and Ergonomics in the
Operating Room: Contributions That Advance Surgical
Practice.
June 19, 2019
Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308.
https://psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-
advance-surgical
Surg…
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psnet.ahrq.gov/node/838071/psn-pdf
September 14, 2022 - Pharmacy leadership amid the pandemic: maintaining
patient safety during uncertain times.
September 14, 2022
Derrong Lin I, Hertig JB. Pharmacy leadership amid the pandemic: maintaining patient safety during
uncertain times. Hosp Pharm. 2022;57(3):323-328. doi:10.1177/00185787211037545.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/43200/psn-pdf
May 21, 2014 - How Does Hospital Quality Management Drive Quality?
Results From the "Deepening Our Understanding of
Quality Improvement (DUQuE)" Project.
May 21, 2014
Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115.
https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…